Understanding the Challenge for the
East Midlands
Gavin Boyle
Chief Executive
Chesterfield Royal
NHS FT
A Chief Executive’s Perspective
• It’s the right thing to do
• Hard wired into the ‘system’ e.g. regulators,
contracts etc...
The Chesterfield Experience
• Early HFMA work
• NHS IQ National Pilot
• EM SCN & Senate
• Working Together – S. Yorks.
HFMA - Costing Workstream
• 1 of 8 trusts involved in Finance workstream of 7 Day
Service Forum – HFMA
• Fieldwork Summer ...
HFMA - Potential Costs
• Pilots – £1.4m investment =
£1.7m Saving (reduced
LOS)
• Gross Investment of £3.8m (
to meet all ...
Our Local Schemes
• Successful pilots made recurrent with 7 day services
as a key theme:
• Acute Re-ablement Unit (Frailty...
7 Day Collaboration
• North Derbyshire – NHSIQ National Pilot
• East Midlands SCN & Senate (10 Acute Trusts)
• NHS IQ self...
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Understanding the Challenge for the East Midlands

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Gavin Boyle Chief Executive Chesterfield Royal NHS FT. Gavin's slides from the presentation at the Seven Day Services event, East Midlands, 12th June 2014.

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Understanding the Challenge for the East Midlands

  1. 1. Understanding the Challenge for the East Midlands Gavin Boyle Chief Executive Chesterfield Royal NHS FT
  2. 2. A Chief Executive’s Perspective • It’s the right thing to do • Hard wired into the ‘system’ e.g. regulators, contracts etc. • Not just hospitals
  3. 3. The Chesterfield Experience • Early HFMA work • NHS IQ National Pilot • EM SCN & Senate • Working Together – S. Yorks.
  4. 4. HFMA - Costing Workstream • 1 of 8 trusts involved in Finance workstream of 7 Day Service Forum – HFMA • Fieldwork Summer 2013 (Emergency and Urgent Services + Supporting Diagnostics) • Not currently meeting all standards Mon-Fri e.g. time to first consultant review. • Main cost driving standards • Standard 2 - Consultant Time to Review • Standard 3 – MDT Review • Standard 5 – Diagnostics • Standard 8 – On-going Review (daily consultant ward rounds)
  5. 5. HFMA - Potential Costs • Pilots – £1.4m investment = £1.7m Saving (reduced LOS) • Gross Investment of £3.8m ( to meet all standards) • This is equivalent to 2.9% of Pay bill • Or 2.0% of patient care income 0 10 20 30 40 50 60 70 wte's Other Therapies Nursing Radiology
  6. 6. Our Local Schemes • Successful pilots made recurrent with 7 day services as a key theme: • Acute Re-ablement Unit (Frailty Unit) • Transitional Care Ward – including Social Care Workers • Senior Clinical Decision Makers – increased presence • Therapy and Diagnostic Services • Primary Care support co-located with ED • Over half a day per General Medicine NEL spell already achieved >9000 bed days circa £1.7m
  7. 7. 7 Day Collaboration • North Derbyshire – NHSIQ National Pilot • East Midlands SCN & Senate (10 Acute Trusts) • NHS IQ self–assessment tool • Data Collection • Case note audit • Service level interviews • South Yorkshire – Working Together Programme • Smaller specialities e.g. Ophthalmology, ENT, OMFS • Radiology

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